Clc of Lake Providence, LLC
Clc of Lake Providence, LLC is a Skilled Nursing Facility in Lake Providence, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.
- Licensed in
- LA
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5976 Highway 65 NLake Providence, LA 71254-5235
Phone: (318) 559-4050
Fax: (318) 559-4052
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 750 (LA) |
|---|
Record details
| NPI number | 1902896657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Wright — Managing Member · (662) 680-3148 |
| Other names | Lake Providence Subacute Rehab Center |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | January 28, 2008 |
| Mailing address | 5976 Highway 65 N, Lake Providence, LA 71254-5235 |
Other providers in Lake Providence
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Cypress at Lake Providence, LLC
5976 Highway 65 N, Lake Providence, LA 71254-5235 · (318) 559-2248